Provider Demographics
NPI:1699050070
Name:ESCANABA FURNITURE INC
Entity type:Organization
Organization Name:ESCANABA FURNITURE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:WARM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:906-786-1313
Mailing Address - Street 1:1809 N LINCOLN RD
Mailing Address - Street 2:
Mailing Address - City:ESCANABA
Mailing Address - State:MI
Mailing Address - Zip Code:49829-2501
Mailing Address - Country:US
Mailing Address - Phone:906-786-1313
Mailing Address - Fax:906-786-1448
Practice Address - Street 1:1809 N LINCOLN RD
Practice Address - Street 2:
Practice Address - City:ESCANABA
Practice Address - State:MI
Practice Address - Zip Code:49829-2501
Practice Address - Country:US
Practice Address - Phone:906-786-1313
Practice Address - Fax:906-786-1448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies